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P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />�G� 9 <br />SI7E ADDRESS PARCEL TAX I.D. M PE I7 q <br />�- Ma;;,,r ,� �. �3 -Z OZO <br />LEGA LqTNO. BLOCK TRACT <br />oesc. �. � 7Z i Plc��' p� �uv.eyS/ p�v.•s.'o� /i� V. �f-. /J so <br />/7��, , <br />TENAN NA . <br />CONTRACTOR <br />PHONE <br />�� <br />PROPOSED USE OF BUIL INC <br />��lJ'fJiu.�/7 <br />CONTRACT PRIC[ OF WORK <br />WORK DESCRIPTION <br />�" �/� <br />NO. TYPE OF FIXTURE ITEM <br />� ' WATER CLOS[ <br />BATHTUB <br />LAVATORY ASIi B�SIN) <br />SHOWE <br />� ITCH SINK 8 DISPOSAL <br />�� D ASHER <br />LA RY TRAY <br />�t = OT! WASHER <br />RINAL <br />DRINKING F NTAIN <br />F!_OOR DRAIN <br />��,ACKFLOW PREV TER <br />SINK (SERVICE/BA OP/E" <br />NAME <br />ADDRESS <br />Building Mechanicai <br />MIT Combinalion P�umbing <br />TYPE Demalilion � Sign <br />Sprinkler <br />PHONE <br />ZIP CONTR. LICENSE M <br />/7 �,�Pl�/3C'i�3 k� <br />Addilion HEATSOURCE <br />WORK Alleration Electric <br />TYPE New � Gas <br />Repnir/MninL L� Other <br />CITY QF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NO. TVPE OF FIXTURE O EM <br />_ A/C — A/HAND f G UNITS <br />FORCED AI YSTEMS <br />HEAT PU <br />� UNIT H TERS <br />� OT S DRYER <br />_� R E HOOD <br />� W R HEATER <br />FIREPL E INSERT <br />GAS FIRE CE <br />GAS RANG <br />GAS PIPING <br />EXHAUSTFAN <br />OTHEH <br />I HEREBY CERITIFY TH.4T I HAVE FEA� AND EXAh11NED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CGRRECT. ALL <br />PROVISIONS OF LASNS AND ORIDINACES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE AUTHORIIY TO VIOL4TE OR CANCEL THE PROVISION OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PPOPERTY TO PERFORM THE WORK FOR WHICH AFPLICATION IS MADE AND I COAIPLY WITH THE STATE <br />CONTRACyTL1RS LFjW� 0.2J R�W A�ID 296.200 WAC. . <br />�� <br />� <br />